Application of fentanyl and midazolam intravenous anesthesia in bronchoalveolar lavage in pneumoconiosis patients
10.3760/cma.j.issn.1674-2907.2016.19.011
- VernacularTitle:芬太尼、咪达唑仑静脉麻醉在尘肺肺泡灌洗术中的应用效果
- Author:
Donghong LI
1
;
Jianjie ZHANG
;
Zhijun CHEN
;
Liu SHI
;
Lingli LUO
;
Jian LIU
Author Information
1. 518000 深圳市职业病防治院职业病科
- Keywords:
Fentanyl;
Midazolam;
Intravenous anesthesia;
Pneumoconiosis;
Bronchoalveolar lavage
- From:
Chinese Journal of Modern Nursing
2016;22(19):2706-2709
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of fentanyl and midazolam intravenous anesthesia in bronchoalveolar lavage in pneumoconiosis patients .Methods A total of 47 pneumoconiosis patients were divided into intravenous anesthesia group ( n=19 ) and surface anesthesia group ( n=28 ) .The intravenous anesthesia group used fentanyl and midazolam intravenous anesthesia based on local use of lidocaine , the surface anesthesia group only used lidocaine aerosol anesthesia .The success rate of operation , comfort and patients′reaction in two groups were compared .The blood pressure ( BP ) , heart rate ( HR ) and oxygen saturation ( SpO2 ) of patients in two groups were monitored before and during the operation .Results The success rate of operation in intravenous anesthesia group was higher than that in surface anesthesia group ( 100% vs 93%) . The comfort in intravenous anesthesia group was better than that in surface anesthesia group , and the difference was statistically significant ( Z =-3.415, P <0.05 ).The patients′adverse reaction was less and the compliance was higher when lavage again in intravenous anesthesia group .There was no significant difference in monitoring indexes between two groups before lavage (P>0.05).The BP and HR were lower in intravenous anesthesia group than those in surface anesthesia group at the same time point during lavage , and the differences were statistically significant (P<0.05).There was no significant difference in SpO 2 between two groups (P>0.05).There was no significant difference in monitoring indexes before and during lavage in intravenous anesthesia group (P>0.05).During the operation, the systolic pressure and HR were higher than before in surface anesthesia group, and the differences were statistically significant (P<0.05).There was no significant difference in SpO2 before and during lavage (P >0.05).Conclusions The application of fentanyl and midazolam intravenous anesthesia in bronchoalveolar lavage in pneumoconiosis patients can increase the success rate of operation and comfort , decrease the patients′adverse reaction , and make the respiratory and circulatory system stable.
